Minnesota Life Agent Licensing & Appointment Contracting Forms


If you can read the Adobe file that is embedded on this page, simply print, complete, and fax that form to 866-866-2232 or 732-792-9777. You are required to send proof of Errors and Omissions (E&O) coverage.

If you are unable to view the embedded Adobe file on this page, click this link to download it.



Minnesota Life has been serving clients since 1880 -- Headquartered in St. Paul, Minnesota -- More than nine million clients in all 50 states and Puerto Rico -- Manages $28 billion in assets -- Provides over $689 billion in life insurance protection -- More than 5,000 associates and field representatives